
<style>
.body_container_mid {
	height: 100%;
	padding: 0px 40px;
}

.body_container_mid .mid_title {
	padding: 7px;
	width: 100%;
	height: 50px;
}

.body_container_mid .mid_title .form-inline .input-group-addon {
	padding: 0px 12px;
}

.body_container_mid .all_content {
	position: absolute;
	top: 50px;
	bottom: 0;
	left: 20px;
	right: 0;
	overflow: auto;
}

.body_container_mid .form_content {
	width: 100%;
	position: static;
}

.body_container_mid .form_content .form_content_title {
	padding: 5px 15px;
	position: relative;
	height: 40px;
	font-size: .875rem;
}

.body_container_mid .form_content .form_content_title hr {
	/* width: 87%; */
	position: relative;
	bottom: 5px;
}

.body_container_mid .form_content .form_content_body {
	padding-left: 35px;
}

.body_container_mid .form_content .form_content_body .content_body_tip {
	width: 110px;
	text-align: right;
	font-size: 14px;
	padding: 0 10px;
}

.body_container_mid .info  .col-md-6 {
	height: 40px;
	padding-left: 25px;
	font-size: .875rem;
}

.body_container_mid .all_content  .col-md-4, .body_container_mid .all_content  .col-md-2
	{
	text-align: right;
	vertical-align: middle;
	/* height: 100%; */
	line-height: 30px;
	font-size: .875rem;
}

.select2-dropdown {
	z-index: 20000000;
}

.selectTab {
	width: 400px;
	height: 200px;
	font-size: .875rem;
	background: #fff;
	overflow: auto;
	position: absolute;
	top: 70px;
	right: 0;
	z-index: 2000;
	display: none;
	border: 1px solid #d8d8d8;
}

.all_content input[type='text'], .all_content select, .all_content .btn-group,
	.all_content textarea {
	width: 200px;
}

.all_content select {
	width: 200px !important;
}

.all_content textarea {
	width: 200px;
	height: 70px;
}

.all_content .btn {
	padding: 0 41px;
}

.all_content .form_title_word {
	width: 100px;
	text-align: right;
	position: absolute;
	left: 0;
	line-height: 30px;
}

.all_content .form_title_line {
	position: absolute;
	left: 110px;
	right: 0;
}
/* 覆盖层 */
#layercover {
	width: 100%;
	height: 100%;
	z-index: 1000;
	opacity: 0;
	background: #000000;
	position: absolute;
	top: 0;
}
</style>
{{# var xianshi;
	var bianji; 
	var bitian; 
	var huiyuanxianshi; 
	var danweixianshi; 
	var crmxianshi; 
	var jiaoyan; 
	var haolei; 
	function setpagefield(name) { 
			if(d["map"]["info"+name+"_xianshi"]==1){ 
					xianshi = "col-md-6 " +name ; 
				}
				else{ 
				xianshi = "col-md-6  " +name; 
				} if(d["map"]["info"+name + "_kebianji"]==1){ bianji = "canedit"+name; }else{ bianji = ""; } if(d["map"]["info"+ name+ "_bitie"]==1){ bitian = "*"; bianji=bianji+ " validate[required]"; }else{ bitian = ""; bianji=bianji; } } function setpagehaobie(name){ if(d["map"]["info"+name+"_xianshi"]==1){ xianshi = "col-md-12 " +name ; }else{ xianshi = "col-md-12 hidden " +name; } if(d["map"]["info"+name + "_kebianji"]==1){ bianji = "canedit"+name; }else{ bianji = ""; } if(d["map"]["info"+ name+ "_bitie"]==1){ bitian = "*"; bianji=bianji+ " validate[required]"; }else{ bitian = ""; bianji=bianji; } } function setpagetitle() {
if(d["map"]["info100105002174_xianshi"]==1){ huiyuanxianshi="form_content_title"; }else{ huiyuanxianshi="form_content_title hidden"; } if(d["map"]["info100105002185_xianshi"]==1){ haolei="form_content_title"; }else{ haolei="form_content_title hidden"; } if(d["map"]["info100103005130_xianshi"]==1 || d["map"]["info100103005131_xianshi"]==1 || d["map"]["info100103005132_xianshi"]==1 ){ danweixianshi="row title danweixinxi"; }else{ danweixianshi="row title hidden danweixinxi"; } if(d["map"]["info100103005137_xianshi"]==1 || d["map"]["info100103005135_xianshi"]==1 || d["map"]["info100103005136_xianshi"]==1 ){ crmxianshi="row title crmxinxi"; }else{ crmxianshi="row title hidden crmxinxi"; } } }} {{# setpagetitle(); }}
<div class="layer_container">
	<div class="body_container">
		<div class="row" style="margin: 0 10px; height: 100%">
			<div class="col-md-8 " style="height: 100%">
				<div class="body_container_mid">
					<div class="mid_title">
						<div class="form-inline">
							<button class="btn btn-main" type="button" onclick="readcard();">医保卡</button>
							<button type="button" class="btn btn-main">身份证</button>
							<button class="btn btn-main" onclick="newCardOut(3)" type="button">
								<span class="glyphicon glyphicon-picture"></span>
								刷卡
							</button>
							<!-- <button type="button" class="btn btn-main" onclick="NewSwingCardOut()"><span class="glyphicon glyphicon-picture"></span>发卡</button> -->
							<div class="input-group">
								<div class="input-group-btn">
									<select id="searchKey" name="searchKey">
										<option value="a.VAA03">门诊号</option>
										<option value="a.VAA05">姓名</option>
										<option value="a.VAA02">卡号</option>
										<option value="a.VAA35">手机号</option>
										<option value="a.VAA15">身份证号</option>
										<option value="a.VAA84">体检号</option>
										<select>
								</div>
								<!-- <div class="inline  form-group has-feedback form-group-content"> -->
								<input type="text" class="form-control-ipt" id="mzserach" name="mzserach" onkeydown="searchData(event);" style="width: 190px;">
								<div class="selectTab" id="vaa05html">
									<table class="table table-striped table-hover table-border">
										<thead>
											<tr>
												<td>姓名</td>
												<td>年龄</td>
												<td>性别</td>
												<td>门诊号</td>
												<td>身份证号</td>
												<td>手机号</td>
											</tr>
										</thead>
										<tbody>
										</tbody>
									</table>
								</div>
								<!-- <span class="glyphicon glyphicon-remove glyphicon-remove-btn form-control-feedback hidden" onkeydown="searchData(event);"> </span>
								</div> -->
								<div class="input-group-btn" onclick="searchData(event);">
									<button class="btn btn-grey">
										<span class="glyphicon glyphicon-search"></span>
									</button>
								</div>
							</div>
							<button type="button" class="btn btn-transparent" onclick="setGuahao();">
								<span class="glyphicon glyphicon-cog"></span>
								<span>界面设置</span>
							</button>
						</div>
					</div>
					<form id="saveGuahao" method="post">
						<div class="all_content">
							<div class="container form_content info">
								{{# setpagetitle(); }}
								<div class="{{huiyuanxianshi}}">
									<div class="form_title_word">
										<span>
											<b>医保信息</b>
										</span>
									</div>
									<div class="form_title_line">
										<hr>
									</div>
								</div>
								<div class="form_content_body">
									<div class="row">
										{{# setpagefield("100103005245")}}
										<div class="{{xianshi}}">
											<div class="col-md-4 ">
												<span class="name"> 保险结构 </span>
											</div>
											<div class="col-md-8 ">
												<select name='iaa01' id='iaa01' onchange="loadiai1(this);">
												</select>
											</div>
										</div>
										{{# setpagefield("100103005246")}}
										<div class="{{xianshi}}">
											<div class="col-md-4 ">
												<span class="name"> 医疗类别 </span>
											</div>
											<div class="col-md-8 ">
												<select type='text' name='iai01' id='iai01'>
												</select>
											</div>
										</div>
									</div>
									<div class="row">
										{{# setpagefield("100103005247")}}
										<div class="{{xianshi}}">
											<div class="col-md-4 ">
												<span class="name"> 保险号 </span>
											</div>
											<div class="col-md-8 ">
												<input type='text' name='iak05' id='iak05' readonly />
											</div>
										</div>
										{{# setpagefield("100103005248")}}
										<div class="{{xianshi}}">
											<div class="col-md-4">
												<span class="name"> 保险卡号 </span>
											</div>
											<div class="col-md-8 ">
												<input type='text' name='iak04' id='iak04' readonly />
											</div>
										</div>
									</div>
									<div class="row">
										{{# setpagefield("100103005249")}}
										<div class="{{xianshi}}">
											<div class="col-md-4">
												<span class="name"> 帐户余额 </span>
											</div>
											<div class="col-md-8 ">
												<input type='text' name='iar33' id='iar33' readonly />
											</div>
										</div>
									</div>
								</div>
							</div>
							<div class="container form_content">
								{{# setpagetitle(); }}
								<div class="{{huiyuanxianshi}}">
									<div class="form_title_word">
										<span>
											<b>会员卡信息</b>
										</span>
									</div>
									<div class="form_title_line">
										<hr>
									</div>
								</div>
								<div class="form_content_body">
									{{# setpagehaobie("100105002174")}}
									<div class="row">
										<div class="{{xianshi}}">
											<div class="col-md-2 ">
												<span class="must" style="color: red">
													<strong>{{bitian}}</strong>
												</span>
												<span class="name"> 会员卡号 </span>
											</div>
											<div class="col-md-8 ">
												<input type="text" name='lVAA02' id="vaa02" />
											</div>
										</div>
									</div>
								</div>
							</div>
							<div class="container form_content">
								{{# setpagetitle(); }}
								<div class="{{haolei}}">
									<div class="form_title_word">
										<span>
											<b>号类</b>
										</span>
									</div>
									<div class="form_title_line">
										<hr>
									</div>
								</div>
								<div class="form_content_body">
									{{# setpagehaobie("100105002185")}}
									<div class="row">
										<div class="{{xianshi}}">
											<div class="col-md-2 ">
												<span class="must" style="color: red">
													<strong>{{bitian}}</strong>
												</span>
												<span class="name">类别 </span>
											</div>
											<div class="col-md-8 ">
												<input type="text" id="bcb03" name="lBCB03" />
												<input type="hidden" id="bcb01" name="lBCB01" />
											</div>
											<div class="selectTab" id="bcb01html" style="display: none;">
												<table id="bcb01table" class="table table-striped table-hover table-border">
													<thead>
														<tr>
															<td>名称</td>
															<td>号类</td>
															<td>科室</td>
															<td>医生</td>
															<td>项目</td>
														</tr>
													</thead>
													<tbody>
													</tbody>
												</table>
											</div>
										</div>
									</div>
								</div>
							</div>
							<div class="container form_content info">
								<div class="form_content_title">
									<div class="form_title_word">
										<span>
											<b>病人信息</b>
										</span>
									</div>
									<div class="form_title_line">
										<hr>
									</div>
								</div>
								<div class="form_content_body">
									<div class="row">
										<div class="col-md-6 ">
											<div class="col-md-4 ">
												<span class="must" style="color: red">
													<strong>{{bitian}}</strong>
												</span>
												<span class="name"> 门诊号 </span>
											</div>
											<div class="col-md-8 ">
												<input id="vaa03_1" name="lVAA03_1" type="text" disabled="disabled" />
												<input id="vaa03" name="lVAA03" type="hidden" />
											</div>
										</div>
										{{# setpagefield("100105002176")}}
										<div class="{{xianshi}}">
											<div class="col-md-4 ">
												<span class="must" style="color: red">
													<strong>{{bitian}}</strong>
												</span>
												<span class="name"> 身份证号 </span>
											</div>
											<div class="col-md-8 ">
												<input type="text" id="vaa15" name="lVAA15" />
											</div>
										</div>
									</div>
									<div class="row">
										<div class="col-md-6">
											<div class="col-md-4 ">
												<span class="must" style="color: red">
													<strong>{{bitian}}</strong>
												</span>
												<span class="name"> 姓名 </span>
											</div>
											<div class="col-md-8 ">
												<input type="text" name="lVAA05" id="gh_vaa05" />
											</div>
										</div>
										{{# setpagefield("100105002177")}}
										<div class="{{xianshi}}">
											<div class="col-md-4 ">
												<span class="must" style="color: red">
													<strong>{{bitian}}</strong>
												</span>
												<span class="name"> 性别 </span>
											</div>
											<div class="col-md-8 ">
												<select id="abw01" name="lABW01">
													<option value="1">男</option>
													<option value="2">女</option>
													<option value="0">未知</option>
												</select>
											</div>
										</div>
									</div>
									{{# setpagefield("100105002179")}}
									<div class="row">
										<div class="{{xianshi}}">
											<div class="col-md-4 ">
												<span class="must" style="color: red">
													<strong>{{bitian}}</strong>
												</span>
												<span class="name"> 年龄 </span>
											</div>
											<div class="col-md-8 ">
												<span class="input-group" style="width: 200px;">
													<input name="lVAA10" onkeyup="this.value=this.value.replace(/\D/g,'')" class="form-input" id="vaa10" name="vaa10" placeholder="0" oninput="getBirthDayByAge(this);">
													<div class="input-group-btn">
														<select name="lAAU01" id="aau01" class="input-group-addon" onchange="getBirthDayByAge();" style="width: 60px">
															<option value="Y">岁</option>
															<option value="M">月</option>
															<option value="W">周</option>
															<option value="D">天</option>
															<option value="H">小时</option>
															<option value="N">分</option>
														</select>
													</div>
												</span>
											</div>
										</div>
										{{# setpagefield("100105002178")}}
										<div class="{{xianshi}}">
											<div class="col-md-4 ">
												<span class="must" style="color: red">
													<strong>{{bitian}}</strong>
												</span>
												<span class="name"> 出生日期 </span>
											</div>
											<div class="col-md-8 ">
												<input type="text" class="layer-date laydate-icon" id="vaa12" name="lVAA12" onclick="laydate({istime: true, format: 'YYYY-MM-DD hh:mm:ss',choose:yearDef(this)});">
											</div>
										</div>
									</div>
									{{# setpagefield("100105002184")}}
									<div class="row">
										<div class="{{xianshi}}">
											<div class="col-md-4 ">
												<span class="must" style="color: red">
													<strong>{{bitian}}</strong>
												</span>
												<span class="name"> 病人类别 </span>
											</div>
											<div class="col-md-8 ">
												<select id="bdp02" name="lBDP02" onchange="loadabc02(this)">
												</select>
											</div>
										</div>
										{{# setpagefield("100105002187")}}
										<div class="{{xianshi}}">
											<div class="col-md-4 ">
												<span class="must" style="color: red">
													<strong>{{bitian}}</strong>
												</span>
												<span class="name"> 发病时间 </span>
											</div>
											<div class="col-md-8 ">
												<input type="text" class="layer-date laydate-icon" id="vac41" name="lVAC41" onclick="laydate({istime: true, format: 'YYYY-MM-DD hh:mm:ss',choose:yearDef(this)});">
											</div>
										</div>
									</div>
									{{# setpagefield("100105002188")}}
									<div class="row">
										<div class="{{xianshi}}">
											<div class="col-md-4 ">
												<span class="must" style="color: red">
													<strong>{{bitian}}</strong>
												</span>
												<span class="name"> 首诊时间 </span>
											</div>
											<div class="col-md-8 ">
												<input type="text" class="layer-date laydate-icon" id="vaa57" name="lVAA57" onclick="laydate({istime: true, format: 'YYYY-MM-DD hh:mm:ss',choose:yearDef(this)});">
											</div>
										</div>
										{{# setpagefield("100105002189")}}
										<div class="{{xianshi}}">
											<div class="col-md-4 ">
												<span class="must" style="color: red">
													<strong>{{bitian}}</strong>
												</span>
												<span class="name"> 症状体征 </span>
											</div>
											<div class="col-md-8 ">
												<textarea class="form-input" id="vcj08" name="lVCJ08">
											</textarea>
											</div>
										</div>
									</div>
									{{# setpagefield("100105002185")}}
									<div class="row">
										<div class="{{xianshi}}">
											<div class="col-md-4 ">
												<span class="must" style="color: red">
													<strong>{{bitian}}</strong>
												</span>
												<span class="name"> 费别 </span>
											</div>
											<div class="col-md-8 ">
												<input type="text" name="lABC02" id="abc02" />
											</div>
										</div>
										{{# setpagefield("100105002189")}}
										<div class="{{xianshi}}"></div>
									</div>
									{{# setpagefield("100105002172")}}
									<div class="row">
										<div class="{{xianshi}}">
											<div class="col-md-4 ">
												<span class="must" style="color: red">
													<strong>{{bitian}}</strong>
												</span>
												<span class="name"> 急诊 </span>
											</div>
											<div class="col-md-8 ">
												<label class="radio-inline">
													<input type='radio' id='vac10_1' name='vac10_1' onclick='checkvac10(this);' class="{{bianji}}">
													是
												</label>
												<label class="radio-inline">
													<input type='radio' id='vac10_2' name='vac10_1' onclick='checkvac10(this);' class="{{bianji}}" checked>
													否
												</label>
												<input id="vac10" name="vac10" type="hidden" value="0">
											</div>
										</div>
										{{# setpagefield("100105002171")}}
										<div class="{{xianshi}}">
											<div class="col-md-4 ">
												<span class="must" style="color: red">
													<strong>{{bitian}}</strong>
												</span>
												<span class="name"> 复诊 </span>
											</div>
											<div class="col-md-8 ">
												<label class="radio-inline">
													<input type='radio' id='vac06_1' name='vac06_1' onclick='checkvac06(this);' class="{{bianji}}">
													是
												</label>
												<label class="radio-inline">
													<input type='radio' id='vac06_2' name='vac06_1' onclick='checkvac06(this);' class="{{bianji}}" checked>
													否
												</label>
												<input id="vac06" name="vac06" type="hidden" value="0">
											</div>
										</div>
									</div>
									{{# setpagefield("100105002174")}}
									<div class="row">
										<div class="{{xianshi}}">
											<div class="col-md-4 ">
												<span class="must" style="color: red">
													<strong>{{bitian}}</strong>
												</span>
												<span class="name"> 折扣卡号 </span>
											</div>
											<div class="col-md-8 ">
												<input type="text" id="vac56" name="lVAC56" />
											</div>
										</div>
										{{# setpagefield("100105002175")}}
										<div class="{{xianshi}}">
											<div class="col-md-4 ">
												<span class="must" style="color: red">
													<strong>{{bitian}}</strong>
												</span>
												<span class="name"> 余额 </span>
											</div>
											<div class="col-md-8 ">
												<input type="text" id="vbu14" name="lVBU14" />
											</div>
										</div>
									</div>
									{{# setpagefield("100105002180")}}
									<div class="row">
										<div class="{{xianshi}}">
											<div class="col-md-4 ">
												<span class="must" style="color: red">
													<strong>{{bitian}}</strong>
												</span>
												<span class="name"> 职业 </span>
											</div>
											<div class="col-md-8 ">
												<select style="cursor: pointer;" id="vac16" name="lAAT02">
												</select>
											</div>
										</div>
										{{# setpagefield("100105002181")}}
										<div class="{{xianshi}}">
											<div class="col-md-4 ">
												<span class="must" style="color: red">
													<strong>{{bitian}}</strong>
												</span>
												<span class="name"> 婚姻 </span>
											</div>
											<div class="col-md-8 ">
												<select style="cursor: pointer;" id="ack01" name="lACK01">
												</select>
											</div>
										</div>
									</div>
									{{# setpagefield("100105002182")}}
									<div class="row">
										<div class="{{xianshi}}">
											<div class="col-md-4 ">
												<span class="must" style="color: red">
													<strong>{{bitian}}</strong>
												</span>
												<span class="name"> 国籍 </span>
											</div>
											<div class="col-md-8 ">
												<select style="cursor: pointer;" id="acc02" name="lACC02">
												</select>
											</div>
										</div>
										{{# setpagefield("100105002183")}}
										<div class="{{xianshi}}">
											<div class="col-md-4 ">
												<span class="must" style="color: red">
													<strong>{{bitian}}</strong>
												</span>
												<span class="name">民族 </span>
											</div>
											<div class="col-md-8 ">
												<select style="cursor: pointer;" id="abq02" name="lABQ02">
												</select>
											</div>
										</div>
									</div>
									{{# setpagefield("100105002186")}}
									<div class="row">
										<div class="{{xianshi}}">
											<div class="col-md-4 ">
												<span class="must" style="color: red">
													<strong>{{bitian}}</strong>
												</span>
												<span class="name">医疗付款方式</span>
											</div>
											<div class="col-md-8 ">
												<select style="cursor: pointer;" id="abj01" name="lABJ01">
												</select>
											</div>
										</div>
										{{# setpagefield("100105002190")}}
										<div class="{{xianshi}}">
											<div class="col-md-4 ">
												<span class="must" style="color: red">
													<strong>{{bitian}}</strong>
												</span>
												<span class="name"> 电话 </span>
											</div>
											<div class="col-md-8 ">
												<input type="text" name="lVAA34" id="vaa34" />
											</div>
										</div>
									</div>
									{{# setpagefield("100105002191")}}
									<div class="row">
										<div class="{{xianshi}}">
											<div class="col-md-4 ">
												<span class="must" style="color: red">
													<strong>{{bitian}}</strong>
												</span>
												<span class="name"> 移动电话 </span>
											</div>
											<div class="col-md-8 ">
												<input type="text" name="lVAA35" id="vaa35" />
											</div>
										</div>
										{{# setpagefield("100105002192")}}
										<div class="{{xianshi}}">
											<div class="col-md-4 ">
												<span class="must" style="color: red">
													<strong>{{bitian}}</strong>
												</span>
												<span class="name"> 社区 </span>
											</div>
											<div class="col-md-8 ">
												<select style="cursor: pointer;" id="uaa01" name="lUAA01">
												</select>
											</div>
										</div>
									</div>
									{{# setpagefield("100105002193")}}
									<div class="row">
										<div class="{{xianshi}}">
											<div class="col-md-4 ">
												<span class="must" style="color: red">
													<strong>{{bitian}}</strong>
												</span>
												<span class="name"> 住址 </span>
											</div>
											<div class="col-md-8 ">
												<input type="text" name="lVAA33_1" id="vac19" />
												<input id="vac17" name="lVAA33" type="hidden" value="">
												<input id="vac18" name="lVAA33" type="hidden" value="">
												<div class="selectTab" id="abu09html" style="display: none">
													<table class="table table-striped table-hover table-border">
														<thead>
															<tr>
																<td>省市</td>
																<td>县市</td>
																<td>地址</td>
															</tr>
														</thead>
														<tbody>
														</tbody>
													</table>
												</div>
											</div>
										</div>
										{{# setpagefield("100105002194")}}
										<div class="{{xianshi}}">
											<div class="col-md-4 ">
												<span class="must" style="color: red">
													<strong>{{bitian}}</strong>
												</span>
												<span class="name"> 了解途径 </span>
											</div>
											<div class="col-md-8 ">
												<select style="cursor: pointer;" id="bdx02" name="lBDX02">
												</select>
											</div>
										</div>
									</div>
									{{# setpagefield("100105002195")}}
									<div class="row">
										<div class="{{xianshi}}">
											<div class="col-md-4 ">
												<span class="must" style="color: red">
													<strong>{{bitian}}</strong>
												</span>
												<span class="name"> 介绍人 </span>
											</div>
											<div class="col-md-8 ">
												<input type="text" name="lVAC57" id="vac57" />
											</div>
										</div>
										{{# setpagefield("100105002200")}}
										<div class="{{xianshi}}">
											<div class="col-md-4 ">
												<span class="must" style="color: red">
													<strong>{{bitian}}</strong>
												</span>
												<span class="name"> 监护人 </span>
											</div>
											<div class="col-md-8 ">
												<input type="text" name="lVAA06" id="vaa06" />
											</div>
										</div>
									</div>
									<div class="row">
										<div class="col-md-6">
											<div class="col-md-4 ">
												<span class="must" style="color: red">
													<strong>{{bitian}}</strong>
												</span>
												<span class="name"> 查看健康档案 </span>
											</div>
											<div class="col-md-8 ">
												<label class="radio-inline">
													<input type='radio' id='vcj15_1' name='vcj15_1' onclick='checkvcj15_1(this);' class="{{bianji}}">
													是
												</label>
												<label class="radio-inline">
													<input type='radio' id='vcj15_2' name='vcj15_1' onclick='checkvcj15_1(this);' class="{{bianji}}" checked>
													否
												</label>
												<input id="vcj15" name="lVCJ15" type="hidden" value="0">
											</div>
										</div>
										{{# setpagefield("100105002196")}}
										<div class="{{xianshi}}">
											<div class="col-md-4 ">
												<span class="must" style="color: red">
													<strong>{{bitian}}</strong>
												</span>
												<span class="name"> 摘要 </span>
											</div>
											<div class="col-md-8 ">
												<input type="text" name="lVAC46" id="vac46" />
											</div>
										</div>
									</div>
									{{# setpagefield("100105002197")}}
									<div class="row">
										<div class="{{xianshi}}">
											<div class="col-md-4 ">
												<span class="must" style="color: red">
													<strong>{{bitian}}</strong>
												</span>
												<span class="name"> 工作单位 </span>
											</div>
											<div class="col-md-8 ">
												<!-- <input type="text" name="lVAC27_1" id="vac27_1" /> -->
												<input type="text" readonly="" style="cursor: pointer;" id="baq03" name="baq03">
												<input id="baq01" name="baq01" type="hidden" value="">
												<input id="vac26" name="vac26" type="hidden" value="">
												<input id="vac27" name="lVAC27" type="hidden" value="">
												<div class="selectTab" id="baq01html" style="display: none;">
													<table class="table table-striped table-hover table-border">
														<thead>
															<tr>
																<td>编码</td>
																<td>名称</td>
															</tr>
														</thead>
														<tbody>
														</tbody>
													</table>
												</div>
											</div>
										</div>
										{{# setpagefield("100105002198")}}
										<div class="{{xianshi}}">
											<div class="col-md-4 ">
												<span class="must" style="color: red">
													<strong>{{bitian}}</strong>
												</span>
												<span class="name"> 单位电话 </span>
											</div>
											<div class="col-md-8 ">
												<input type="text" name="lVAC28" id="vac28" />
											</div>
										</div>
									</div>
									{{# setpagefield("100105002199")}}
									<div class="row">
										<div class="{{xianshi}}">
											<div class="col-md-4 ">
												<span class="must" style="color: red">
													<strong>{{bitian}}</strong>
												</span>
												<span class="name"> 单位地址 </span>
											</div>
											<div class="col-md-8 ">
												<input type="text" name="lVAC29" id="vac29" />
											</div>
										</div>
									</div>
								</div>
							</div>
						</div>
					</form>
				</div>
			</div>
			<div class="col-md-4" style="height: 100%">
				<div class=" main-content-table" style="top: 10px; bottom: 10px; left: 10px; right: 10px;">
					<div class="main-table-container" id="xiangmu_info_content">
						<table class="table-responsive table-change table table-hover table-striped table-bordered" id="xiangmu_info_table"></table>
					</div>
				</div>
			</div>
		</div>
	</div>
	<div class="footer_container">
		<button class="btn btn-green" onclick="saveGuahao()">保存</button>
		<button class="btn btn-white" id="remove_guahao">取消</button>
	</div>
</div>
<div id="layercover" class="hidden"></div>